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i 0. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F(if food is used the following day,maintain below 41eF temperature)' <br /> ®Ice chests ❑ Refrigerator <br /> ❑Refrigerated truck ® Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils <br /> ❑Three compartment sink. <br /> OR <br /> © Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution(one tablespoon of bleach per gallon of water). <br /> ®Detergent,bleach, and wiping cloths(cleaning towels). <br /> ®Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth <br /> water supply dispenser with warm water at a minimum of 100eF(i.e.5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ©Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation <br /> Rosie Paz Marques <br /> "Important` Ali food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this event. A copy of this checklist must be in the booth at all hours of <br /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this event <br /> 14. Completed by_ i/ -Owner <br /> / Slignature Title Date <br /> s2o Gat <br /> Health Permit K"With W&W <br /> sterrw wtchmrrrc <br /> Dah <br /> Paper Ftataf Twnla <br /> Soap disperuer <br /> Cunnp Board Sam=budw- <br /> bimh&ereler for <br /> Propane Stove akaeV W4_V daft <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> soap and water ae se wafe Bever and wafer Garbage <br /> Can <br /> Fee Esteqursner <br /> Effra <br /> wafer <br /> r <br /> I <br /> Ice Cooler S"Hand Wash <br /> Er he roe 6495 d rood cowbmfs must be Wastewater Corrianer <br /> stomd a mches df d M ground <br /> EHO 16.02 Page 8 of 11 TEMP EVENT APP <br /> 7r2WSo <br />